Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Falcon, Paul

Falcon, Paul was paid $53K by Medicaid between Jun 2018 and Nov 2024, across 6 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 34% of everything it billed.

33Billing provider infoFALCON, PAUL
NEWTON, NJ 07860
33aNPI1174664668assigned 02/09/2007
33bProvider typeEndodontist
28Total paid$53K
24GClaims2,857
24DCodes billed6
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers

Next to other Endodontist providers in New Jersey

Rank by total paid#35 of 60
Median peer was paid$91K
This provider vs. median0.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018528$8K
2019892$14K
2020216$3K
2021240$3K
2022171$3K
2023440$9K
2024incomplete370$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0140 Limited oral evaluation - problem focused 34% 881 878 $18K
D0220 Intraoral - periapical first radiographic image 26% 1,043 1,040 $14K
D9310 25% 219 208 $13K
D0270 13% 668 666 $7K
D9110 1.8% 29 29 $969.40
D0230 Intraoral - periapical each additional radiographic image <1% 17 17 $194.04

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.